| NPI | 1700141157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2017-0464) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R73247) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2022-07-21 |